Anteghini M, Fonseca H, Ireland M, Blum R W
Faculdade de Medicina de Santos-Fundação Lusíadas, Brazil.
J Adolesc Health. 2001 Apr;28(4):295-302. doi: 10.1016/s1054-139x(00)00197-x.
To describe the prevalence of health risk behaviors and identify risk and protective factors that are associated with several health risk behaviors (cigarette smoking, drug use, onset of sexual intercourse before age 15, pregnancy, gun-carrying, suicidal ideation, and suicide attempts) among adolescents in Brazil, as well as to explore gender differences.
We estimated prevalence rates, evaluated bivariate associations, and explored multivariate analyses using logistic regression on data from a 1997 survey of adolescent health among 2059 eighth- and 10(th)-grade students in Santos, Brazil.
Youth in Santos, Brazil report high rates of gun-carrying, suicidal thoughts and attempts, sexual intercourse, and pregnancy. Factors associated with diminished involvement for nearly all health risk behaviors, for both boys and girls, included having good family relationships, and feeling liked by friends and teachers. Factors associated with increases in nearly all health risk behaviors were: gun-carrying and gun availability in the home, drug use, and sexual abuse.
Factors that are associated with a wide range of health risk behaviors among adolescents in Brazil appear to parallel those found in industrialized countries: access to guns, substance use, and sexual abuse. Likewise, connectedness to family, school, and peers is consistently the protective factor associated with diminished risky behaviors.
描述健康风险行为的流行情况，并确定与巴西青少年中的几种健康风险行为（吸烟、吸毒、15岁前开始性行为、怀孕、携带枪支、自杀意念和自杀未遂）相关的风险因素和保护因素，同时探讨性别差异。
我们利用对巴西桑托斯2059名八年级和十年级学生进行的1997年青少年健康调查数据，估计流行率，评估双变量关联，并使用逻辑回归进行多变量分析。
巴西桑托斯的青少年报告称携带枪支、有自杀想法和自杀未遂、性行为和怀孕的比例很高。几乎所有健康风险行为参与度降低的相关因素，对男孩和女孩来说，都包括拥有良好的家庭关系，以及感到被朋友和老师喜欢。几乎所有健康风险行为增加的相关因素有：携带枪支和家中有枪、吸毒和性虐待。
巴西青少年中与广泛健康风险行为相关的因素似乎与工业化国家中发现的因素相似：获得枪支、物质使用和性虐待。同样，与家庭、学校和同伴的联系始终是与减少危险行为相关的保护因素。
